• Title/Summary/Keyword: Claims Analysis

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A Study on the Risks Excluded of Marine Insurance Claims (해상보험 클레임의 면책위험에 관한 고찰)

  • Jung Sung-Hoon;Choi Hyuk-Jun
    • Journal of Arbitration Studies
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    • v.15 no.2
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    • pp.125-162
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    • 2005
  • This paper examined excluded risks of insurer in marine insurance generally, and found out the existing studies on the excluded risks, which were accomplished partially and fragmentarily, to conduct a comparative analysis of marine insurance based on the general flow of claim adjustment. It arranges the existing studies to settle a dispute between the parties -insurer and assurer- and studies the excluded risk based on risk change of the insured by analyzing characteristic and class of security violation, and meaning, form, effect of risk change. it inquires into and analysis cases of the Korean Supreme Court related to the exclusion and illegal act of marine insurance to compare marine theorists' opinion with commercial law.

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Economic Evaluation of Early Detection System for Warranty Issues (품질보증 이슈 조기감지 시스템의 경제성 평가)

  • Jung, Sung-Hwan
    • Journal of Korean Society for Quality Management
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    • v.40 no.1
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    • pp.39-48
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    • 2012
  • An early detection system for warranty issues periodically collects customers' claim data and automatically reports alarms about emerging issues based on statistical algorithms. It helps companies to reduce an issue definition time and save the handling cost of warranty claims. This paper provides an evaluation framework to validate the economic effect of an early detection system project. For this purpose, we present economical index of a project with explicit formulas such as ROI(return on investment), PP(payback period), NPV(net present value), PI(profitability index) and IRR(internal rate of return) and analyze the sensitivities of the index according to the variation of project input parameters. The proposed analysis framework is expected to be used for evaluating economic values of various system integration projects.

Characteristics Analysis of Highway Traffic Noise (고속도로 발생소음의 특성 분석)

  • Kim, Chulhwan;Chang, Taesun;Kim, Deuk Sung
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.22 no.12
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    • pp.1191-1198
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    • 2012
  • Highway traffic noise is the one of the most frequent pollutant source of environmental claims in Korea for the last 10 years. For abating the noise from the highways, characteristics of highway noise source should be investigated and identified before performing the abatements. Highway noises are affected by traffic volume, vehicle types and speed, tyre and pavement types. In this study, highway noises which measured from different pavements have been analyzed and compared. Especially, the noise from the asphalt concrete pavement, cement concrete pavement and low-noise pavement have been measured simultaneously at the same traffic condition and compared each other. Hopefully, the data of the study may be used for abating highway noise and further studies.

Finite Element Analysis of Powdered Magnet Sinter-Forging Processes Considering Deformable Body Contact (변형체 접촉을 고려한 분말자석 소결단조 성형공정의 유한요소 해석)

  • Kim, S.H.;Huh, H.
    • Transactions of Materials Processing
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    • v.10 no.6
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    • pp.478-484
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    • 2001
  • Tube Process (TP) is a process to produce permanent magnets using a deformable tube for densification of magnet powder. This process claims that it can accomplish both densification and anisotropication in one step forming. This process is distinguished from other processes since it uses a deformable copper tube for densification of magnet powder. In this paper, simulation has been carried out for tile Tube Process in a closed die considering the compressibility of powdered material, arbitrary curved shape and deformable body contact between Nd-Fe-B magnet powder and a copper tube. Results show that the finite element analysis of the Tube Process plays an important role in the stage of preform design.

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The Effect of Public Report on Antibiotics Prescribing Rate (급성상기도감염 항생제 처방률 공개 효과 분석)

  • Kim, Su-Kyeong;Kim, Hee-Eun;Back, Mi-Sook;Lee, Suk-Hyang
    • Korean Journal of Clinical Pharmacy
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    • v.20 no.3
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    • pp.242-247
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    • 2010
  • Controlling inappropriate antibiotics prescribing for acute upper respiratory infections(URI) is a very important for prudent use of antibiotics and resistance control. Health Insurance Review and Assessment Service (HIRA) introduced Prescribing Evaluation Program and publicly reported antibiotics prescribing rate for URI of each health institution. We performed segmented regression analysis of interrupted time series to estimate the effect of public report on antibiotics prescribing rate using national health insurance claims data. The results indicate that just before the public report period, clinics' monthly antibiotics prescribing rate for URI was 66.7%. Right after the public report, the estimated antibiotics prescribing rate dropped abruptly by 12.3%p. There was no significant changes in month-to-month trend in the prescribing rate before and after the intervention.

A Theoretical Approach of Accident Cost Analyses for Product Safety Management (제품안전경영을 위한 사고비용분석의 이론적 접근)

  • Kim Sa Kil;Byun Seong Nam
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2003.05a
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    • pp.230-235
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    • 2003
  • Accident analysis is special concern to researchers in traffic safety. Accident analysis in product safety, however, is not. The needs of product safety management alter it in the world by all manufacturers. The purpose of this study is to propose a theoretical principles for product safety management through the accident cost analyses. The accident cost is a important factor to prevent product accident and to treat some claims of customers. It is sure that this principles can help all making decisions of manufactures with expected accident cost per a product accident and with total expected accident cost.

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The Analysis of Green Roof during the Summer by Numerical Method (모델을 이용한 하절기 옥상정원 해석)

  • Byun, Kihong
    • Journal of the Korean Solar Energy Society
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    • v.36 no.5
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    • pp.51-62
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    • 2016
  • The purpose of this paper is to study the effectiveness of a green roof by simple mathematical model. The developed model simulates a green roof during the summer. The results explain and support the claims in the literature such that effectiveness of a green roof depends on the climate condition, and on the insulation condition of the roof. If insolation can not be reduced more than 60% by the shading effects of a green roof, more active measures than green roof seem necessary. The analysis tools like presented in the paper is necessary especially to consider climate effect, to design, and also to test green roof.

Robustness Analysis Under Second-Order Plant and Delay Uncertainties for Symmetrically Coupled Systems with Time Delay

  • Cheong Joon-O;Kwon Sang-Joo
    • Journal of Mechanical Science and Technology
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    • v.20 no.8
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    • pp.1195-1208
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    • 2006
  • This paper aims at presenting robustness analysis under the uncertainties of the time delay and plant parameters in symmetrically coupled dynamic systems connected through network having time delay. The delay-involved closed loop characteristic function is mathematically formulated, incorporated with active synchronization control. And the robust stability of the corresponding system is analyzed by investigating the formation of characteristic equation containing second- order terms of uncertainty variables representing delay and plant dynamics mismatches. For the two individual types of uncertainties, we elucidate details of how to compute the bounds and what they imply physically. To support the validity of the mathematical claims, numerical examples and simulations are presented.

Metrical Foot in Korean Phonology (한국어 음운론의 음보)

  • Lee Sang-Jik
    • MALSORI
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    • no.25_26
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    • pp.38-51
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    • 1993
  • Korean phonology has not recognised metrical foot as a phonological unit to account for certain phonological processes. This paper, however, suggests that an optional h-deletion process in Korean should require the notion of metrical foot as an independent phonological domain. The previous analyses rely on the notion of speech speed to explain optional h-deletion : i. e. an intervocalic h is deleted in fast speech, but in slow speech it remains. This paper claims that the notion of speech speed should be reinterpreted in terms of metrical foot : i.e. foot-internal t is deleted, but foot-initial h remains. Such analysis provides evidence that metrical foot constitutes a phonological unit in Korean phonology. With the notion of metrical foot, it enables us to achieve more detailed and accurate analysis of the optional h-deletion process in Korean.

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Economic Value of Platelet Glycoprotein IIb/IIIA Receptor Blocker (Abciximab) for Percutaneous Coronary Intervention (PCI시술시 혈소판 당단백 GP IIb/IIIA 억제제(Abciximab) 투여의 경제적 가치)

  • Kim, Jin-hyun;Shin, Sang-Jin;Kim, Eun-Ju;Lee, Young-Hee
    • YAKHAK HOEJI
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    • v.51 no.3
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    • pp.186-193
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    • 2007
  • This study was performed to analyse the economic value of abciximab which is used in PCI to prevent high-risk patients with ischemic complications. The effectiveness of abciximab was extracted from published clinical trials by search-ing CCIS, and the direct medical costs relevant to using abciximab were estimated from the NHI claims database. The results in terms of cost per life-year gained (LYG) and cost per QALY gained showed that abciximab was cost-effective enough to deserve its cost. Social net benefit resulting from abciximab in PCI was estimated to be 60-70 billion Won per year.